THE ORIENTAL INSURANCE COMPANY LlMI;J'ED~ ~ ~4q'mf~ ftdm--'~WrliRCfiT 1!lIi~)

~~~(j).N;rIN&ENCY INSUR1l- ,

Policy No : 412391/48/2013/143

Cover Note No.

Insured's Name : AB0000026016 - CHRISTIANMEDICAL COLLEGE

: IDA SCUDDER ROADVELLORE 632 004.

Prey Policy No

Cover Note Dt.

Issuing Office 412391 - EC PORUR

Address Address GANESH TOWERS, NO.207-A, ARCOTROAD 2ND FLOOR,OPP. TO VENKATESWARA MAHAL,PORUR, CHENNAI 600 116

Tel.lFax IEmaii : 1 1 NA

CHENNAI TAMIL NADU 600116

044-23860386 1 1412391@orientalinsurance.co.i -

Tel. IFax IEmaii

Agent/Broker DetailsDev.Off.Code : NA0000003085 DIRECT

Agent/Broker : BA0000120450 S.BHARA THI

Address : NO.5/10,BHARATHIDASAN STREET,VLASARAVAKKAM"CHENNAI- PINTel/FaxlEmail 600087,CHENNAI,TAMIL NADU,600087

: 119941793906I1bharathiannavelavan@gmail.conPeriod of Insuranc : FROM 00:00 ON 01/10/2012 TO MIDNIGHT OF 30/09/2013

Collection No & Dt : CHQ 9510000964 - 01/10/2012

Gross Premium Total 3,37,080Service Tax : 37,080 Stamp Duty .53,00,000

Co Insurance Details None

RISK DETAILS

Risk SI No

Risk Desc VARIOUS CLINICAL TRAILS FROM 01.10.2012 TO 30.09.2013 EACH ANDEVERY TRAIL WILL BE DECLARED WITH PROTOCOL BY THE INSURED -LIABILITY AGAINST THE INSURED WHILE ADMINISTRING MEDICINES DURINGTHE TRAILS. LIMIT PER SUBJECT RS.7.50 LACS.

COVER WISE DETAILS

Cover Name Sum Insured PremiumDesc of Peril

Public Liability Cover 1,00,00,000 3,00,000.00

SCHEDULE OF PREMIUM

ADD :Public Liability CoverTOTAL PREMIUMADD :SERVICE TAXSTAMP DUTYTOTAL AMOUNT

3,00,000.003,00,000.00

37,080.000.50

3,37,080.00

Total Sum Insured In Words: Indian Rupees One Crore OnlyTotal Premium In Words : Indian Rupees-Three Lakhs Thirty-Seven Thousand Eighty Only

Place:Date:

CHENNAI

01/10/2012

For and 'on behalf ofThe Oriental Insurance Company Limited

In case of any query regarding the Policy please call TollFree No. 1800 11 8485 and 011 33208485. (, ,

AtrthorisAll the Amounts mentioned in this policy are in Indian Rupees

Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Aft(('e~i4~'ft~~ ~oI«f~lfiT~~) l

~~:~~at~'1njPpllicy number 41239TI.-~/27 3ffi1fi ~ m,~ ~ - 110002.

Excess / Deductible: USER ENTERED DEDUCTIBLEUSER ENTERED DEDUCTIBLEUSER ENTERED DEDUCTIBLE

THE ORIENTAL INSURANCE COMPANY L1MlrED(A Govt. of India Undertaking)Corporate & Regd. Office: Oriental House, .P.B.No. 7037, A-25/27, Asaf Ali Road, New Delhl-110002

The Insurance under this policy is subject to warranties & Clauses otherwise stated herein:

1 . In the event of a claim under the policy exceeding Rs. 1 lac or a claim for refund of premium exceeding Rs. 1 lac,theinsured will comply with the provisions of the AML policy of the Company.The AML policy is available in all ouroperaing offices as well as Company's website.

Hypothecation / Lease / Hire Names are as per the list attached: None

The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policyshall be void abinitio (from inception). .

In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their handsat CHENNAI on 01ST DAY OF OCTOBER 2012

Entered By

Examined By

POOVARAGHAVAN E

x.vARADARAJAN

For and on behalf ofThe Oriental Insurance Company Limited

\"I-'~~Atrthonsed Sig"natory

Place:Date:

CHENNAI

01/10/2012For and on behalf of

The Oriental Insurance Company Limited

In case of any query regarding the Policy please call TollFree No. 180011 8485 and 011 33208485.